Organization
HERITAGE HOME CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY SPENCER MILES (OWNER DIRECTOR)
(336) 386-8900
Entity
Organization
Contact information
Practice address
21 WOOTEN RD, SPARTA, NC 28675-8773
(336) 386-8900
(336) 386-8971
Mailing address
21 WOOTEN RD, SPARTA, NC 28675-8773
(336) 386-8900
(336) 386-8971
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC2462
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3409517
—
NC
05
—
6600921
—
NC
Enumeration date
11/06/2006
Last updated
08/22/2020
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